Target intelligence / Profile preview

Dystrophin pre-mRNA exon 44 splice junction (DMD exon 44 splice junction)

Target
DMD exon 44 splice junction
Molecular classification
Splice site (pre-mRNA), Cis-acting RNA element, Other (pre-mRNA regulatory sequence, not a protein)
01

Overview

The dystrophin pre-mRNA exon 44 splice junction is a critical RNA sequence at the boundary of exon 44 in the dystrophin gene that regulates the inclusion or exclusion of exon 44 during splicing. Mutations or deletions affecting this junction can disrupt the reading frame, resulting in a truncated and non-functional dystrophin protein, the cause of Duchenne muscular dystrophy. Therapeutic strategies, such as antisense oligonucleotide-mediated exon skipping and CRISPR-Cas9 gene editing, target the exon 44 splice junction to restore the reading frame and enable production of a shorter but functional dystrophin protein. This approach has led to the development of experimental drugs targeting this splice region to treat eligible DMD patients.

Other names
Exon 44 splice site of dystrophin pre-mRNADMD exon 44 splice junctionDystrophin exon 44 acceptor/donor site
02

Mechanism of action

Exon skipping: Antisense oligonucleotides (ASOs/PMOs) bind to the splice junction, mask splicing signals, and induce exclusion (“skipping”) of exon 44 during mRNA maturation, restoring the functional reading frame and enabling truncated dystrophin production. CRISPR-Cas9 genome editing: Enables excision or reframing to restore proper splicing between exons.

03

Biological functions

Pre-mRNA splicingRNA processingRegulation of dystrophin protein biosynthesis
04

Disease associations

Duchenne muscular dystrophy (DMD)Other dystrophinopathies (Becker muscular dystrophy in overlapping contexts)
05

Safety considerations

Off-target splicing and potential for aberrant RNA speciesIncomplete restoration of dystrophin expression or partial protein functionalityPossible immune reactions to oligonucleotide therapiesLong-term effects and efficiency of exon skipping strategies remain under study
06

Interacting drugs

Phosphorodiamidate morpholino oligonucleotides (PMOs), e.g., PMO44

2 more in the full profile.

07

Biomarkers

Dystrophin protein levels in muscle biopsyPresence of skipped exon 44 transcripts in RT-PCRFunctional restoration of dystrophin-associated protein complexes (DAPC markers: utrophin, alpha sarcoglycan)

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